SOUTH CENTRAL RADIOLOGY PLLC – NPI #1841335643
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

SOUTH CENTRAL RADIOLOGY PLLC is a radiologist located in MOUNT VERNON, KY. NPPES has assigned the NPI number 1841335643 to SOUTH CENTRAL RADIOLOGY PLLC on February 20, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 10 years ago on Jun 30, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTH CENTRAL RADIOLOGY PLLC below.

NPI Profile for
SOUTH CENTRAL RADIOLOGY PLLC

NPI Number
1841335643
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTH CENTRAL RADIOLOGY PLLC
Primary location
145 NEWCOMB AVE
MOUNT VERNON, KY 40456-2733
Phone: (606) 256-2195 Fax:
Mailing address
PO BOX 32364
KNOXVILLE, TN 37930-2364
Phone: (865) 531-6070 Fax: (608) 788-8799
Organization Subpart
No
Authorized Official
EDUARDO GOMEZ
CHIEF MANAGER-OWNER
Phone: (606) 677-9438
Updated
Identifiers

Identifiers for SOUTH CENTRAL RADIOLOGY PLLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDKY65942880
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.